| NPI | 1508185455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR12198300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN568593) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-18 |